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MC-15-792Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-231885 Permit Number: MC4-15-792 Scheduled Inspection Date: May 27, 2015 Permit Type: Mechanical - Residential Inspector: Perez, JanPierre Inspection Type: Final Owner: GAY, THOMAS Work Classification: A/C Replacement Job Address: 9437 NW 2 Court Miami Shores, FL 33150 - Project: <NONE> Contractor: C&R AIR CONDITIONING CO is comments � RENEWAL OF EXPIRED PERMIT MC -7-14-1495 EXACT REPLACEMENT OF 2 1/2 TON SPLT SYSTEM Phone Number Parcel Number 1131010150330 Phone: 305-685-6394 INSPECTOR COMMENTS False May 26, 2015 For Inspections please call: (305)762-4949 Page 3 of 26 Inspector Comments Passed ' Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid May 26, 2015 For Inspections please call: (305)762-4949 Page 3 of 26 y, Miami Shores Village 10050 N.E. 2nd Avenue NW CCF Miami Shores, FL 33138-0000 DBPR Fee Phone: (305)795-2204 Project Address Parcel Number Applicant 9437 NW 2 Court 1131010150330 Miami Shores, FL 33150- Block: Lot: THOMAS GAY Owner Information Address Phone Cell THOMAS GAY 9437 NW 2 Court MIAMI SHORES FL 33150-2265 Contractor(s) Phone Cell Phone C&R AIR CONDITIONING CO 305-685-6394 (954)680-4494 Tons: 21/2 Additional Info: RENEWAL OF EXPIRED PERMIT MC -7-14-1 Classification: Residential Approved: In Review Comments: Date Approved:: In Review Date Denied: Type of Work: Scanning: 3 Fees Due Amount CCF $3.00 DBPR Fee $2.34 DCA Fee $2.34 Education Surcharge $1.00 Permit Fee $155.75 Scanning Fee $9.00 Technology Fee $4.00 Total: $177.43 Valuation: $ 4,450.00 Total Sq Feet: 00 Pay Date Pay Type Amt Paid Amt Due Invoice # MC -4-15-55103 04/07/2015 Credit Card $ 50.00 $ 127.43 04/09/2015 Credit Card $ 127.43 $ 0.00 Available Inspections: Inspection Type: Final Review Mechanical In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating -I-authorize the above-named contractor to do the work stated. 109, 2015 Authc'ri *d Sig= re 01iner / Applicant / Contractor / Agent 1il Building Department Copy April 09, 2015 1 Miami Shores Village Building Department ! APR 07 2015 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 `�> ` -. _._ Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 a BUILDING (waster Permit No.1"�!� PERMIT APPLICATION Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING 0 MECHANICAL MPUBLICWORKS CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR JOB ADDRESS: 9437 NW 2nd Ct DRAWINGS Folio/Parcel#:11-3101-015-0330 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder)- Thomas Gay Phone#: 305-751-9137 Address:9437 M — W �� C -T City M� o(, m i -1 X 0 P C -{ State: F Zip: 33 1 el Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: C&R Air Conditioning Company Phone#: 305-685-6394 Address: 6073 NW 167th St Suite C-4 City. Miami Gardens State: FL Zip: 33015 Qualifier Name: Robert J. Chryst Phone#: 3 d 9- 6 gel (OJI N State Certification or Registration #: CACO26414 Certificate of Competency #: 9 8, 1? 01 DESIGNER: Architect/Engineer: Phone#: Address City: State: Zip: Value of Work for this Permit: 'A"7 C CDC—) Square/linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New Q Repair/Replace ❑ Demolition Description of Work. EXACT REPLACEMENT OF 2 1/2 TON SPLT SYSTEM Specify color of color thru tile:. Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ _ (Revised02/24/2014) CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ 127 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant. As a condition to the issuance of a budding permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this day of Api 20 I e� by who is personally known to me or who has produced a Lr as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: ROBERT J. CHRYST :+K Commission # FF 086047 Expires May 24, 2018 , � �� Bo�dTAruTwyFdnlnoufa�eeBOB3d c 01 APPROVED BY & .00 11AM"111011", (Revised02/24/2014) i si nature Qii—Acw- 0 •' The foregoing instrument was acknowledged before me this —7 day of I, 20 1 S . by —R6-6 e t t I C h r 4 STwho i personally known o me or who has produced _ Identification and w NOTARY PUBLIC: Sign: _ Print: Qlr1 et Seal: Examiner Structural Review JANET KRANZ Commission # FF 197298 Expires May 9, 2019 Bolded Thu Twy Fain k==w 003 4= as Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax:(305) 756.8972 AIR CONDITIONING REPLACEMENT DATA PERMIT NUMBER: MC This form must accompany ALL air conditioning replacement permit applications. Each unit change -out must be on its own data sheet. Multiple units on single sheets aret not acceptable. Job Address (where the work is being done): 9 1 NW � C 1y - City: Miami Shores Village County: Miami Dade Zip Code: 3 �� ALL CONDENSING UNITS MUST BE ON A 4 INCH SOLID CONCRETE SLAB ALL UNITS MUST COMPLY WITH F.E.M.A MINIMUM FLOOD ELEVATION A COPY OF THE CONTRACT IS REQUIRED WITH ALL SUBMITALS AHRI DATA SHEET REQUIRED Change disconnecting means: YES ❑ NO ❑ ARHI Sheet Attached: YES ❑ NO ❑ Contract Attached: YES ❑ UNIT BEING REPLACED DATA NEW UNIT MANUFACTURER I'LiqVI V - (530 AHU or PKG. UNIT MODEL# F 1�7'1 FN 611 9,0 3 Q COND. UNIT MODEL # 116 ® O KW HEAT NOM TONS AHU CU PKG 1) M.C.A AHU CU PKG AHU 3 ®CU PKG 2) M.O.P AHU30CU9,�-PKG AHU CU PKG 3) VOLTS 240 IF14 AHU CU PKG PKG UNIT / / PKG UNIT EER/SEER YES NO REPLACING DUCTS YES NO YES NO REPLACING THERMOSTAT YES NO YES NO NEW 4"CONCRETE SLAB YES NO YES NO NEW ROOF STAND YES ce YES NO NEW RETURN PLENUM BOX YES 0 1. Minimum Circuit Ampacity (Wire Size): 9T 2. Maximum Overcurrent Protection (Fuse/Breaker Size): 3 3. Voltage of Circuit (208/240/480): 2c{ b 4. Size Disconnecting Means: '30 f /� / p r / Q ! / Contractor's Company Name: /�1 � a r CO h j _ C D • Phone: �� ®� 6 S1 b � 1L State Certificates kegis do^No. C STC ©a G (4/q Certificate of Competency No. 4 k & O Signature (Revised02/24/2014) C&R Air Conditioning Co. C&R 6073 NW 167th Street Suite C-4 Miami Gardens, FL 33015-4330 ♦ T .�...u.a���,.► a.< uav,.eonr DADS: sup -685-6-394 BROWARD:954-62nD-4494 www.CandRac.com v CUSTOMER PHONE NUMBERS DATE THOMAS GAY RESIDENCE CELL ADDRESS 9437 NW 2ND CT 305-751-9137 ❑ UNDER CONSTRUCTION CITY A2IANII SHORES ZIP 33150 Email: ® EXISTING STRUCTURE We hereby propose to: Furnish, install and service the equipment and materials listed below with the conditions and specifications -detailed below during our regular working hours of Monday through Friday 8:30 — 4:30. NEW EQUIPMENT System #1 $ 4154.00 System #2 $ System #3 $ FPL Rebate (instant) 109.00 Total $ 4045.00 $ $ Expired Permit + 159.43 Total $ 4204.43 $ $ Previous Deposit - 1840.00 Total $ 2364.43 Manufacturer BRYANT Condensing Unit Model # 116BNA030 Air Handler Model # FFMANP031 Refrigerant R410 Heating KW 1. 5 Btuh 28,200 S.E.E.R. 15.0 Warranty Parts 10Yr. Compressor 10 Yr. Parts _ Yr. Compressor _ Yr. Parts Yr. Compressor Yr. — _ I Year Labor 1 Year Labor 1 Year Labor N4--lSCLLLA N E0 US ❑ Condensing Unit Stand ® Air Handler Stand ® Float Switch ❑ Ref. Lune cover ❑ Condensate Line ® Concrete Slab ® Thermostat D ❑ Auxiliary Drain Pan ❑ UV Light g ❑Fire Dampers ❑ Other ❑ Package Unit Change -out ® Existing Reconnection ® Existing Reconnection ® Reconnect to Existing System ❑ New Electric ❑ Ref lines ft. ❑ ® Any upgrade by code not incl: as in breaker ® R-11 flush A qualified air conditioning expert will start and test the system and explain its operation. This proposal is good for a two week period from date of proposal and at that time is subject to review. Title to the system shall remain in us until all sums due us have been fully paid. In the event the purchaser fails to comply with any of the requirements of this contract and such default results in litigation, the Purchaser agrees to pay reasonable attorney's fees and all court costs and expenses incident to such litigation. Delinquent payments shall bear 1.5% per month interest from due date until paid. All work is to be performed during our regular work hours unless otherwise specified. This contract contains all agreements. Neither party shall be bound by any representation, warranties nor agreements, oral nor written not herein contained. This proposal shall become a contract when accepted by you and approved in writing by our duly authorized corporate officer. We agree to furnish and install the above described 1 bor axed mat rials on the terms indicated below for System # 1 I IA 1►i® TOTAL INVESTMENT $ 4154.00 1 # (( rs ,®b R°s-c. FPLIDE.ALER REBATE $ - 109.00 FPL Account # DEPOSIT $ 1185.00 YOUR INVESTMENT $ 4045.00 DUE WHEN $ 1179.43 READY TO OPERATE (INCL. EXP PERMIT) $ 4204.43 JVEW PE.R)VVIT FEE NOT INCLUUDED 0/f201 PURCHASER LIp- ATE � REPRESENTATIVE V4LID FOR 2 H EEKS TOB NOTES